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HomeMy WebLinkAboutCOM2021-00043 Change Tenant - COM Permit / Conditions - 6/2/2021 Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us F 1-00043 CHANGEINTENANT DESCRIPTION: OPEN A HAIR SALON IN A SPACE THAT ISSUED: 06/02/2021 IOUSLY A HAIR SALON ESS: 11 NE OLD BELFAIR HWY UNIT B BELFAIR EXPIRES: 11/29/2021 PARCEL: 123294200010 APPLICANT: Petrich, Kara OWNER: ADIO I LLC 2790 NE Old Belfair Hwy PO BOX 370 BELFAIR,WA98528 BELFAIR,WA 98528 3602869525 FEES: Paid Due Change in Tenant Application $156.00 $0.00 Planning Review Fee $240.00 $0.00 Technology Surcharge $3.12 $0.00 Change in Tenant- Minor EH $120.00 $0.00 Plan Review State Fee-Commercial $25.00 $0.00 IFC Plan Check Fee $78.00 $0.00 Totals : $622.12 $0.00 REQUIRED INSPECTIONS BLD-Final Inspection CONDITIONS Printed by:Corey Bennett on:06/15/2021 03:55 PM Page 1 of 2 Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us CHANGE IN TENANT COM2021-00043 * OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. * If construction or remodeling is proposed an additional Building Permit and construction documents/drawings may be required. * Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. * Lever hardware is required at doors. The unlatching of any door shall not require more than ONE operation. Hardware with locks must open with a single action from the egress side of the door. Door hardware shall allow egress doors to be readily open able from the egress side without the use of a key or special knowledge or effort. Handles, pulls, latches, locks and other operable parts on accessible doors shall have a shape that is easy to grasp with one hand and does not require tight- grasping, pinching, or twisting of the wrist to operate. X * All building permits shall have a final inspection performed and approved by Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances and building regulations. * The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. * All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration. Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No more than one extension may be granted. * Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28 and 14.17. * If any signs added must comply with MCC 17.34 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state/local law regulating construction or the performance of construction. Issued By: Contractor or Authorized Agent: Date: Printed by:Corey Bennett on:06/15/2021 03:55 PM Page 2 of 2 oro 0 0 O D m z z z ;aX d m m z 0 0 O O CD m r _ d n NaO 3 Z z 0O N) N mCO) A O n m '- o 0 6 O z N � D C m n 0) 3 PM p p Ut z v v X M D Z cu .� o m Dv OWE M 0o N v 0 xx 0 X m W N a0 o CO) B 0) * z o o� p 0 Z _ � CDm � Z m cow 0 I CD m CA N z T z 0 y /V v � W00 m O, D_ � -01 v � z cn 2 � m � cu v ai z m co N W m � r Oz Oz a D m m ° w D 3 cfl 00 3 U1 y OD 0 Mason County Mason County - Division of Community Development 615 W.Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us F 1-00043 CHANGEINTENANT ESCRIPTION: OPEN A HAIR SALON IN A SPACE THAT ISSUED: 06/02/2021 OUSLY A HAIR SALON ESS: 11 NE OLD BELFAIR HWY UNIT B BELFAIR EXPIRES: 11/29/2021 PARCEL: 123294200010 APPLICANT: Petrich, Kara OWNER: ADIO I LLC 2790 NE Old Belfair Hwy PO BOX 370 BELFAIR,WA 98528 BELFAIR,WA98528 3602869525 FEES: Paid Due Change in Tenant Application $156.00 $0.00 Planning Review Fee $240.00 $0.00 Technology Surcharge $3.12 $0.00 Change in Tenant- Minor EH $120.00 $0.00 Plan Review State Fee-Commercial $25.00 $0.00 IFC Plan Check Fee $78.00 $0.00 Totals : $622.12 $0.00 REQUIRED INSPECTIONS BLD-Final Inspection CONDITIONS Printed by:Kate Campbell on:06/02/2021 01:49 PM Page 1 of 2 i ' Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us CHANGE IN TENANT COM2021-00043 OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. * If construction or remodeling is proposed an additional Building Permit and construction documents/drawings may be required. * Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. * Lever hardware is required at doors. The unlatching of any door shall not require more than ONE operation. Hardware with locks must open with a single action from the egress side of the door. Door hardware shall allow egress doors to be readily open able from the egress side without the use of a key or special knowledge or effort. Handles, pulls, latches, locks and other operable parts on accessible doors shall have a shape that is easy to grasp with one hand and does not require tight- grasping, pinching, or twisting of the wrist to operate. X * All building permits shall have a final inspection performed and approved by Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances and building regulations. * The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. * All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration. Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No more than one extension may be granted. * Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28 and 14.17. * If any signs added must comply with MCC 17.34 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not.The granting of a p t does not presume to give authority to violate or cancel the provis'on f"any ther state/ ocal la r ulating construction or the performance of construction. Issued By: Contractor or Authorized Agent: Date: lx 2 ZI Printed by:Kate Campbell on:06/02/2021 01:49 PM Page 2 of 2 MASON COUNTY 615 W.Alder St.Bldg 8,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 352 COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 352 Building,Planning,Environmentalll alth,Comrnunityll alth ELMA:360-482-5269,EXT 352 www.co.mason.wa.us INSPECTION CARD AND CERTIFICATE OF OCCUPANCY** To schedule an inspection call or visit http://www.co.mason.wa.us/community-services/bld-inspection.php Permit Number COM2021-00043 Date Issued 06/02/2021 Issued j Project Open a hair salon in a space that was previously a hair salon Lx ` Site Address 11 NE OLD BELFAIR HWY UNIT B Applicant Petrich,Kara Contractor Contractor Phone Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type Permit Type CHANGE IN TENANT Occupancy -APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS. -DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED. -THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION,FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY. -ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION. -OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION. **THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED.** PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET Public Works Access/Driveway Other Health Septic Well Deptartment Planning Site Inspection Department Fire Marshall Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Duct Other Final Building Department Building Official: Community Services Designee Concrete Setbacks Slab Footing Perimeter Point load Footing Footing Interior Footing Decks/Porches Foundation Stem Walls Other Rough-In Groundwork Plumbing Framing Groundwork Mechanical Plumbing Groundwork Gas Pipe Mechanical Gas Piping Shear Wall Nailing Underfloor Other Insulation Slab Ceiling Floor Vaulted Ceiling Walls Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire Walls Nailing Other Final Building I04110 Manufactured Setbacks Setup Home Concrete Foot/Runners Final Other MASON COUNTY _. (360) 427-9670 Shelton ext.352 DEPARTMENT OF COMMUNITY SERVICES (360) 275-4467 Belfair ext. 352 BUILDING• PLANNING• FIRE MARSHAL g (360) 482-5269 Elma ext. 352 Mason County Bldg. 8 RE E l�� E D >> 615 W. Alder Street, Shelton, WA 98584 RAtPA ,,. D www.co.masonma.us F 615'%4 A Ar29 et COM_G�D CHANGE IN TENANTIA PIMATIO1 PROPERTY INFORMATION Date: • a-I Assessor's Parcel Number: 3� I Legal Description: Building Site Address: I _e Pa i I4u '6 "'I CGt(�_ APPLICANT INFORMATION Name of Applicant: Li.- Mailing address: t1 9Z3 Fj F` C)Ic� 1ReS �►� ja u City: t co r State:W�-q Zip: q Day phone `ic�a5 Contact Person: y c,;,r�? tf k L y, Message phone: PROJECT INFORMATION Proposed business name: Sc'Ac Proposed use: i\C, v- '�S wicv� Number of employees: i Previous business name: CE4 -, e "0? Describe previous use: STRUCTURE DETAILS Check one: O Detached single level/ single tenant V Single level/ multi tenant O Multi level/ single tenant O Multi level/multi tenant Age of structure: Is structure currently If not occupied, how long has it been vacant? occupied? l : No Yr. Mo. Square Basement: First: Mezzanine: Second: Third: footage: I I Gjclo Is Is the structure Type of Heat: Circle one: Furnace eat Purr ectric walk Radiant heated? Circle one: es No Fuel type: Circle one: le�c, Liquid Propane Natural Gas Oil Will there be any changes to the fol owing?—Circle yes or no, if applicable Floor lay-out: Yes N ' Lighting: Yes N Heating: Yes Q Exterior Finishes: Yes N 9 Interior Finishes: Yes No Parking: Yes CNo Number of restrooms provided: Number of fixtures in each: I Water Closets Lavatories Bath/Shower Is structure handicap accessible? Entry: Ye� No Restroom(s): ej No Is the structure equipped with a fire sprinkler system? Yes N� Fire alarm system? Ye" No Monitoring Station Name: Phone number: APPLICATION WILL NOT BE ACCEPTED WITHOUT: Floor Plan(5 sets): • Draw the floor plan to scale • Use of rooms • Room Dimensions • Location of all exits and windows (include dimensions, • Location of plumbing and mechanical fixtures counters, tables, shelving, benches, fire exits • Interior doors with swing radius and exit signs). Site Plan (9): Note scale used • Property lines, easements, & right of ways • Location of all existing structures & dimensions • Distance, in feet, from property line & structures • Location of all existing structures & dimensions • On-site sewage tanks and drain fields, & reserve • Landscape buffer yards • Location of fire hydrants & vehicle access roads • Well location • Parking areas (number& arrangement) Continued on back i If construction or remodeling is proposed an additional Building Permit and construction documents/drawings may be required. /-� After permit issuance and compliance to all conditions is JWkCEI iED schedule an inspection by calling 360.427.9670 ext. 352 MAY 2 4 gn2l OWNER / BUILDER acknowledges submission of inaccurate information may resuu I inVst80iWM,'order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s) for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Signature of Applicant Date X k-cuv 0':P-L+V C,u-1 Owner/Owners Representative/Contractor Print Name (circle to indicate which one) Official Use Only Accepted by Date Submittal Amount $ Receipt number Department Review Initials Date Comments Building Fire Marshal Planning Occupancy Change? (circle one) Yes No Land Use Designation: Occupancy classification change from to New occupant load calculated: persons Existing occupant load design persons. Type of construction 4 COL, MASON COUNTY (360)427-9670 Shelton ext.352 DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Belfair ext. 352 SUILDING•PLANNING.FIRE MARSHAL (360)482-5269 Elma ext. 352 Mason County Bldg. 8 /XSJ 615 W. Alder Street, Shelton,WA 98584 , 4 � �I www.co.mason.wa.us 615 W. Alder Street COM 30 21 4'j CHANGE IN TENA1Qr0AftA M6N PROPERTY INFORMATION Date: -D ) Assessor's Parcel Number: 3 d 1 Legal Description: Building Site Address: 11 NE Old fPa i 1-I w 'B - l-fe i- 49 5 APPLICANT INFORMATION Name of Applicant: a:yev F I may, Mailing address: i j 9Z -f= t V jAA�u /-,3 City: State:Vi{q ZiML(Q gEr5VA'OKSD Day phone'-koDP-Bt295_S Contact Person: Kckvc j p,p „'L_b I Message hone: FROM THE F PROJECT INFORMATION PROJECTION OF 1 i ' G Proposed business name: ��shceo Proposed use: �\c �v o Number of employees: I Previous business name: CLyE h cQ Describe previous use: Sc�So c1 STRUCTURE DETAILS Check one: O Detached single level/single tenant ® Single level/ multi tenant O Multi level/sin le tenant O Multi level/multi tenant Age of structure: Is structure currently If not occupied, how long has it been vacant? occupied? a No Yr. Mo. Square __TBasement: First: Mezzanine: Second: Third: footage: I I cb0c) 8�1_ Is the structure Type of Heat: Circle one: Furnace eat Pu Ej�e Radiant heated? Circle one: es No Fuel type: Circle one: le�flic Liquid Propane Natural Gas Oil Will there be any changes to the fol owing? ircle yes or no, if applicable Floor lay-out: Yes Co Lighting: Yes Heating: Yes Exterior Finishes: Yes N Interior Finishes: Yes No Parking: Yes rN2 Number of restrooms provided: Number of fixtures in each: 1 Water Closets Lavatories Bath/Shower Is structure handicap accessible? Entry: iYe No Restroom(s): a No Is the structure equipped with a fire sprinkler system? Yes CN Fire alarm system? G1 No Monitoring Station Name: I Phone number: APPLICATION WILL NOT BE ACCEPTED WITHOUT: Floor Plan(5 sets): • Draw the floor plan to scale • Use of rooms • Room Dimensions • Location of all exits and windows (include dimensions, • Location of plumbing and mechanical fixtures counters, tables, shelving, benches, fire exits • Interior doors with swing radius and exit signs . Site Plan(1): Note scale used • Property lines, easements, & right of ways • Location of all existing structures & dimensions • Distance, in feet, from property line & structures • Location of all existing structures & dimensions • On-site sewage tanks and drain fields, & reserve • Landscape buffer yards • Location of fire hydrants &vehicle access roads • Well location • Parking areas (number& arrangement) Continued on back r i If construction or remodeling is proposed an additional Building Permit and construction documents/drawings may be required. After permit issuance and compliance to all conditions is co tv9 , EIVED f schedule an inspection by calling MAY 2 4 7071 360.427.9670 ext. 352 615 W. Alder Street OWNER / BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s) for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICAT;UNNING X l&> Signature of Applicant Date X E�Lw-v Owner/Owners Representative/Contractor Print Name (circle to indicate which one) P L/-i i " .4 j ALL SETBACKS ARE IV+L _D Official Use Only 'ROM THE IIRTH4 I ION OF JG Accepted by Date Submittal Amount $ Receipt number Department Review Initials Date Comments Building Fire Marshal Planning2) Occupancy Change? (circle one) Yes No Land Use Designation: Occupancy classification change from to New occupant load calculated: persons Existing occupant load design persons. Type of construction MASON COUNTY (360) 427-9670 Shelton ext.352 DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Belfair ext. 352 Y BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352 Mason County Bldg. 8Ntb M5-1 615 W. Alder Street, Shelton, WA 98584 $ 2 www.co.mason.wa.us �0!� 615 W, Alder Sireet COM 0?0 3A —r) CHANGE IN TENANfA00ftT PROPERTY INFORMATION Date: I Assessor's Parcel Number: Legal Description: Building Site Address: I I N E Ofd( ( .ea fiq j 14-W 'I6 I f'Q � GUI �a� APPLICANT INFORMATION Name of Applicant: �,km I v a @1wE N V1 R Q N E NAL Mailing address: 11 q_ �j ff� C)l(� ''v �- City: ` 42-1 State:W`ti=1 Zip: Day phone 95a Contact Person: Y,c;rc,_�t-Y ;L Message phone: PROJECT INFORMATION Proposed business name: C e Sc�1c Proposed use: (A GCc Y- S of c v�, Number of employees: I Previous business name: �, �,� ccc Describe previous use: c3c,3 C 4 STRUCTURE DETAILS Check one: O Detached single level/ single tenant ® Single level/ multi tenant O Multi level/ single tenant O Multi level/multi tenant Age of structure: Is structure currently If not occupied, how long has it been vacant? occupied? QCe No Yr. Mo. Square Basement: First: Mezzanine: Second. Third: footage: I I I cbclo _` Is the structure Type of Heat: Circle one: Furnace eat P p �ctric walk Radiant heated? Circle one: es No Fuel type: Circle one: IeEf�, Liquid Propane Natural Gas Oil Will there be any changes to the fol owing? ircle yes or no, if applicable Floor lay-out: Yes N Lighting: Yes Heating: Yes lo' Exterior Finishes: Yes N,3 Interior Finishes: Yes No Parkin : Yes Na Number of restrooms provided: Number of fixtures in each: ( Water Closets Lavatories Bath/Shower Is structure handicap accessible? Entry: Y No Restroom(s): � No Is the structure equipped with a fire sprinkler system? Yes N Fire alarm system? (Y:ji No Monitoring Station Name: Phone number: APPLICATION WILL NOT BE ACCEPTED WITHOUT: Floor Plan (5 sets): • Draw the floor plan to scale • Use of rooms • Room Dimensions • Location of all exits and windows (include dimensions, • Location of plumbing and mechanical fixtures counters, tables, shelving, benches, fire exits • Interior doors with swing radius and exit signs). Site Plan (1): Note scale used � • Property lines, easements, & right of ways • Location of all existing struc Pres &R, nQsVnE D • Distance, in feet, from property line & structures • Location of all existing structures4Asr sff • On-site sewage tanks and drain fields, & reserve • Landscape buffer yard �u[ • Location of fire hydrants &vehicle access roads • Well location ASON COUNTY ENVIRONMENTAL HEALTH • Parking areas (number& arrangement) RET Continued on back If construction or remodeling is proposed an additional Building Permit and construction documents/drawings may be required. After permit issuance and compliance to all conditions is comRECE1 VED plete schedule an inspection by calling MM i 2 4 7Q�' 360.427.9670 ext. 352 615 W. Alder Str OWNER/ BUILDER acknowledges submission of inaccurate information may result in a stop work orc�egtOr permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s) for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PER IT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLKEANWRON N - I L H EALTH x Signature of Applicant Da e--T X Iwo " i L,� Owner/Owners Representative/Contractor Print Name (circle to indicate which one) Official Use Only Accepted by Date Submittal Amount$ Receipt number Department Review Initials Date Comments Building Fire Marshal LJAV Planning MA ON COUNTY ENVIROtiYENTAL HEALTH RET Occupancy Change? (circle one) Yes No Land Use Designation: Occupancy classification change from to New occupant load calculated: persons Existing occupant load design persons. Type of construction }-}: 0n- r rreA z7(Z f &I \CAr\-�� Tr\ 4C/�. PO- S rQ.� �u ✓ a-daq `- (-ev .ors �'oo MASON COUNTY (360) 427-9670 Shelton ext.352 DEPARTMENT OF COMMUNITY SERVICES (360) 275-4467 Belfair ext. 352 BUILDING•PLANNING.FIRE MARSHAL e (360) 482-5269 Elma ext. 352 Mason County Bldg. 8 �l m 615 W. Alder Street, Shelton, WA 98584 MAY 2 4 '?0Ct www.co.mason.wa.us 619 5 W. lder Sheet COM a0 a l h_�(Z4 CHANGE IN TENAh&XWAfNV1M PROPERTY INFORMATION Date: Assessor's Parcel Number: Legal Description: Building Site Address: f Ct i`l; J9 �a APPLICANT INFORMATION Name of Applicant: CJ'N Mailing address: C)1c� e1-{,mil V Vv�_u\- City: 1 �.���r State: �� Zip: , Day phone� 0-�4,'f5aS Contact Person: Kc rc�?�t v i��� Message phone: PROJECT INFORMATION Proposed business Sc Ac Proposed use: Number of employees: Previous business name: C, - ccZ Describe previous use: c3C, p 4 STRUCTURE DETAILS Check one: O Detached single level/single tenant ® Single level/ multi tenant O Multi level/ single tenant O Multi level/multi tenant Age of structure: Is structure currently If not occupied, how long has it been vacant? occupied? a No Yr. Mo. Square Basement: First: Mezzanine: Second: Third: footage: I I I CjC)D Is the structure Type of Heat: Circle one: Furnace eat Purim ectric wk Radiant heated? Circle one: es No Fuel type: Circle one: Iecftc, Liquid Propane Natural Gas Oil Will there be any changes to the fol owing?c e ircle yes or no, if applicable Floor lay-out: Yes N Lighting: Yes Heating: Yes Exterior Finishes: Yes QN Interior Finishes: Yes No Parkin : Yes Nq Number of restrooms provided: Number of fixtures in each: ( Water Closets Lavatories Bath/Shower Is structure handicap accessible? Entry: Ye No Restroom(s): No Is the structure equipped with a fire sprinkler system? Yes CN Fire alarm system? Ye' No Monitoring Station Name: I Phone number: APPLICATION WILL NOT BE ACCEPTED WITHOUT: Floor Plan (5 sets): • Draw the floor plan to scale • Use of rooms • Room Dimensions • Location of all exits and windows (include dimensions, • Location of plumbing and mechanical fixtures counters, tables, shelving, benches, fire exits • Interior doors with swing radius and exit signs). Site Plan (1): Note scale used • Property lines, easements, & right of ways • Location of all existing structures & dimensions • Distance, in feet, from property line & structures • Location of all existing structures & dimensions • On-site sewage tanks and drain fields, & reserve • Landscape buffer yards • Location of fire hydrants & vehicle access roads • Well location • Parking areas (number & arrangement) Continued on back N If construction or remodeling is proposed an additional Building Permit and construction documents/drawings may be required. RECEIVED EIOiEp After permit issuance and compliance to all conditions is comp)-6- schedule an inspection by calling 2 4 2n2l 360.427.9670 ext. 352 615 W. Alder Scree}t OWNER / BUILDER acknowledges submission of inaccurate information may result in a stop work order car permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structu e for review and inspection. This permit/application becomes null & void if work or authorized construc �iohot commenced within 180 days or if construction work is suspended for a period of 180 days. MARSH AL PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Signature of Applicant Date X Owner/Owners Representative/Contractor Print Name (circle to indicate which one) Official Use Only Accepted by Date Submittal Amount$ Receipt number Department Review Initials Date Comments Buildin Fire Marshal Planning Occupancy Change? (circle one) Yes No Land Use Designation: Occupancy classification change from to New occupant load calculated: persons Existing occupant load design persons. Type of construction 13.8' � ']� y Y U f Soulstiee Salon Tree Tree 11.2 O Chair Chair '.. 5.2' a - 11 NE Old Belfair Hwy Belfair WA Table Exit 98528 34" 4.2' 1 L6' Chair& Floor Mat t c c a 5 0 0 V V Building Storage Tattoo Shop Chair& Not part of lease Floor Mat ZUE.C E '� 16.5 Chair& 3.3' G p Floor Mat Storage 15 \N. Alder Str 36" ca 36" 8 2 Exit Single Step Cabinet 6.10' Restroom 6W 36" Shampoo Bowl Sink 10.2' Storage Storage 7.8' 36 .0-000 36" 7 8" I I 36" Coffee stand 17.6 Office I uQsk 36" --- Exit �6 a o - Hot Water Heater { i c. � bo fn R A- 000q 3 RECEIVED MAY - 6 2021 615 W• Alder Street fi y, t 4 b ry p'i" bo -A- 000 RECEIVED MAY - 6 20?1 der S±rept •�r 'fi.. a, a; e RECEIVED �'�° �1 ►'I . Polder Street 00 . r rit � rES°"F i x r h �2i Y�,1�rF"��.J�a�!�I•�.�.t � of w 1 t thy'' ,... ''•wtYF-IM� � r'.' !�' �':. G�M,-O(Da\ J o?VL13 RECEIVED t 6 61t Alder Street ti P i yyyygg� ru h n u � ^ , �1A